HomeMy WebLinkAboutPermit Building 2008-4-4
Status
use initials
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01406
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 10/04/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2445 GROVEDALE DR
ASSESSOR'S PARCEL NO.: 1703233309600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace gas furnace and water heater
Owner: RYAN CARNEY
Address: 2445 GROVEDALE DR
SPRINGFIELD OR 97477
Phone Number: 541-953-8771
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
OWNER
JUNG ENTERPRISES INC 102455
OWNERATTENTION: Oregon law requires you.~o
I "J l' - - "'-...:01-..1 "")' ....... t"'I~...","''' I It II iN
VIIVI/II ... w,:, __~....-. .- _ ..- -' ~-' .....-,..
Notification C€JmlILIJlJU:UIN..J~dtMI~1
in OAR 952-001-001 u mrougn Ul'\n tI".:.-uv.
0090. You may olJta~~jI of the rules by
cSUllg the centHei~'lst\1tc\WAPhone
number for the ~ .H\!_YW Notification
VB Center isW~.:2344).
Range Type:
Energy Path:
Sprinkled Building'
License
Expiration Date Phone
11/17/2008 541-741-0002
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE:. e 1C"I'I#WMK
T..~ rf11.U7 m~.~~ ~~, OT
PU . S PERMIT IS N
COMMENCED OR IS ABANDO~fitU~ype:
ANY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Pa2e 1 of3
Status
use initials
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Appliance Vent
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01406
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 10/04/2008
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$20.00
$15.20
$7.60
$12.16
$48.00
$4.00
$14.00
$16.00
$14.00
$5.00
$17.00
$34.00
$3.20
$3.84
$1.60
$32.00
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
4/4/08
4/4/08
4/4/08
4/4/08
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
1200700000000001192
2200800000000000411
2200800000000000411
2200800000000000411
2200800000000000411
$247.60
I Plan Reviews' I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eouireCUnsnections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Pa!!e 2 of 3
Status
use initials
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01406
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 10/04/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance WIth ORS 701.005 will be used on this project.
I further agree to ensure that~eqUired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is 0 ated at the front of the property, and the approved set of plans will remain on the site at all
times during ons ction.
. , ...\~. ~-4-0S
Owner ~ntractors Signature
~
Date
1
Pa2e 3 of 3
225 Fifth Street
Springfiold, Oregon 97477
541.726-3759 Phone
Job/Journal Number
COM2007-01406
COM2007-01406
COM2007-01406
COM2007-01406
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Description
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
PaId By
RY AN CARNEY
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000411
Date: 04/04/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIVed
dJb 027618 In Person
Payment Total:
Page I of 1
11 :38:34AM
Amount Due
3200
1 60
384
320
$40.64
Amount Paid
$40 64
$40.64
4/4/2008